Rehabilitation of patients with facial nerve injuries after neurosurgical treatment

Елена Жарова; Анастасия Бондаренко; Елена Вершинина; Ольга Титова; Наталья Тальнишних

doi:10.21638/spbu11.2020.105

Авторы

Елена Жарова Russian Neurosurgical Institute of A. L. Polenov — branch of the National Medical and Investigative Centre of prof. V. A. Almazov, 12, ul. Mayakovskogo, St. Petersburg, 191014, Russian Federation
Анастасия Бондаренко Russian Neurosurgical Institute of A. L. Polenov — branch of the National Medical and Investigative Centre of prof. V. A. Almazov, 12, ul. Mayakovskogo, St. Petersburg, 191014, Russian Federation
Елена Вершинина Institute of physiology of I. P. Pavlov of the Russian Academy of Sciences, 6, nab. Makarova, St. Petersburg, 199034, Russian Federation ; Institute of regional economy problems of the Russian Academy of Sciences, 38, Serpukhovskaya ul., St. Petersburg, 190013, Russian Federation
Ольга Титова Russian Neurosurgical Institute of A. L. Polenov — branch of the National Medical and Investigative Centre of prof. V. A. Almazov, 12, ul. Mayakovskogo, St. Petersburg, 191014, Russian Federation
Наталья Тальнишних Russian Neurosurgical Institute of A. L. Polenov — branch of the National Medical and Investigative Centre of prof. V. A. Almazov, 12, ul. Mayakovskogo, St. Petersburg, 191014, Russian Federation

DOI:

https://doi.org/10.21638/spbu11.2020.105

Аннотация

The facial nerve is most often, as compared with other cranial nerves, damaged due to surgical interventions. In the first place, as the cause of iatrogenic damage, is neurosurgical treatment for neoplasms of the ponto-cerebellar angle and temporal bone, brain injuries. The neuropathy of the facial nerve is the cause of neurological and cosmetic defects that have a serious traumatic effect on the patient. The psychological consequences of facial neuropathy are more important for the patient than physical damage. Paresis of mimic muscles cannot be hidden and often leads to social maladjustment, isolation and a marked reduction in the quality of life. Facial neuropathy, in most cases, is not a life-threatening condition, but it definitely changes the patient’s life. This article proposes an effective rehabilitation system, tested on 172 patients with facial nerve damage after neurosurgical treatment. The combined use of physiotherapy, massage, therapeutic gymnastics, including posture treatment with taping, during the early period of the disease, allows restoring nerve function and maintaining mimic muscles, as well as avoiding undesirable complications such as pathological synkinesis and corneal atrophy.

Ключевые слова:

neurosurgical treatment, neuropathy of the facial nerve, paresis of the facial muscles, rehabilitation

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References

Polyakov A. P., Reshetov I. V., Ratushny M. V., and others. Static facial correction for facial nerve damage in the clinic of head and neck tumors. Opukholi golovy i shei, 2017, vol. 2, pp. 53–59. (In Russian)

Gal T. J., Shinn J., Huang В. Current epidemiology and management trends in acoustic neuroma. Otolaryngology— Head and Neck Surgery, 2010, vol. 142, iss. 5, pp. 677–681.

House J. W., Brackmann D. E. Facial nerve grading system. Otolaryngology — Head and Neck Surgery, 1985, vol. 93, iss. 2, pp. 146–147.

Neurology: a national guide. Moscow, GEOTAR-Media Publ., 2013. 1035 p. (In Russian)

Kulakov A. A., Nerobeev A. I., Roginskii V. V. (Eds). Clinical Protocol of medical care for patients with facial nerve neuropathy. Moscow, 2014. 39 p. (In Russian)

Pustovoy S. V., Bersnev V. P., Guljaev D. A., Tastanbekov M. M. The Need for surgical correction of facial nerve dysfunction in patients with vestibular schwannoma with deep postoperative paresis of facial muscles. Neirokhirurgia i nevrologiia Kazakhstana, 2009, vol. 2–3, p. 43. (In Russian)

Kim A. A., Gulyaev D. A., Zharova E. N., Kondrat’ev S. A Surgery vestibular schwannomas (preservation of the cochlear nerve). Uspekhi sovremennogo estestvoznaniia, 2015, vol. 5, pp. 18–22. (In Russian)

Tastanbekov M. M. Vestibular schwannomas of gigantic size: features of diagnostics, clinic and surgical treatment. Abstract of Ph. D. thesis. St. Petersburg, 2012. 42 p. (In Russian)

Shimansky V. N., Shevchenko K. V., Tanyashin S. V., Shul’gina A. A., Poshataev V. K., Odamanov D. A., Karnaukhov V. V. Postoperative outcomes of facial nerve function depending on the topography of auditory nerve neurinoma. Sibirskoe meditsinskoe obozrenie, 2017, no. 6 (108), pp. 104–109. (In Russian)

Stupak V. V., Pendyurin I. V. Results of surgical treatment of large and giant neurinomas of the auditory nerve. Sovremennye problemy nauki i obrazovaniia, 2017, no. 5, pp. 162. Available at: http://scienceeducation.ru/ru/article/view?id=26993 (accessed: 15.06.2020). (In Russian)

Nikonova N. G., Kapitanov D. N., Golanov A. V., Zolotova S. V. Modern view on the diagnosis and treatment of auditory nerve. Vestnik otorinolaringologii, 2009, no. 1, pp. 61–66. (In Russian)

Samii M., Gerganov V. M., Samii A. Functional outcome after complete surgical removal of giant vestibular schwannomas. Journal of Neurosurgery, 2010, vol. 112, iss. 4, pp. 860–867.

Samii M., Matthies С. Management of 1000 vestibular schwannomas (acoustic neuromas): surgical management and results with an emphasis on complications and how to avoid them. Neurosurgery,1997, vol. 40, iss. 1, pp. 11–23.

Smouha E. E., Yoo M., Mohr K., Davis R. P. Conservative management of acoustic neuroma: a metaanalysis and proposed treatment algorithm. The Laryngoscope, 2005, vol. 115, iss. 3, pp. 450–454

Whitmore R. G., Urban C. R., Church E. W., Ruckenstein M. J., Stein S. C., Lee J. Y. K. Decision analysis of treatment options for vestibular schwannoma. Journal of Neurosurgery, 2011, vol. 114, iss. 2,pp. 400–413.